Technically, our standard of living is much much lower. A lot of us don’t have water heating, so we just shower (or dunk, if you use a pail, because some of us can’t afford showers) with cold water, unless you want to spend precious time and fuel to boil it. I see Americans who glorify cold showers, saying that it develops you as a person. Heating and cooling is a no-brainer for Americans, but many of us are still hesitant to use air conditioning even at 30°C. In my country, we still have regular service (water and electricity) interruptions, even in the cities. Yes, rent can be lower outside of major cities, but development is centralised there, so you’d rather move to those cities anyway. I would hear of families having to seek treatment in a more developed city, because their city doesn’t have resources.
Not a lot of people are lucky to get funded unfortunately :(